Hospital Costs > In North Carolina > Moses H Cone Memorial Hospital, The, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 752 | 46 / 4 | $27.816,40 | 150 / 4 | $13.228,70 | 388 / 41 | $10.152,00 | 387 / 14 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 498 | 82 / 7 | $25.994,40 | 588 / 28 | $11.669,30 | 975 / 53 | $10.150,80 | 967 / 51 |
Heart Failure & Shock W Mcc | 363 | 20 / 3 | $19.138,20 | 377 / 22 | $9.470,90 | 912 / 55 | $8.168,13 | 911 / 48 |
Simple Pneumonia & Pleurisy W Mcc | 300 | 5 / 2 | $18.811,40 | 316 / 16 | $9.179,59 | 915 / 45 | $7.773,82 | 915 / 50 |
Heart Failure & Shock W Cc | 256 | 42 / 5 | $13.933,10 | 462 / 20 | $6.705,00 | 1154 / 56 | $5.406,43 | 1151 / 49 |
Renal Failure W Mcc | 194 | 21 / 4 | $19.330,40 | 204 / 15 | $9.945,50 | 951 / 49 | $8.830,21 | 951 / 55 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 192 | 17 / 2 | $19.446,60 | 442 / 28 | $7.100,21 | 743 / 46 | $5.473,24 | 741 / 41 |
Kidney & Urinary Tract Infections W/O Mcc | 183 | 60 / 2 | $11.102,50 | 405 / 6 | $5.453,44 | 1272 / 59 | $4.143,85 | 1263 / 55 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 179 | 97 / 8 | $12.522,20 | 460 / 12 | $5.348,06 | 1467 / 59 | $4.104,75 | 1456 / 62 |
G.I. Hemorrhage W Cc | 167 | 53 / 6 | $14.769,60 | 285 / 14 | $6.826,13 | 1077 / 62 | $5.439,58 | 1075 / 52 |
Spinal Fusion Except Cervical W/O Mcc | 166 | 41 / 5 | $55.566,20 | 163 / 2 | $23.546,20 | 355 / 14 | $20.964,30 | 354 / 14 |
Kidney & Urinary Tract Infections W Mcc | 164 | 10 / 2 | $13.946,40 | 187 / 13 | $7.080,41 | 647 / 39 | $5.877,30 | 646 / 38 |
Simple Pneumonia & Pleurisy W Cc | 160 | 47 / 2 | $13.376,90 | 386 / 15 | $6.598,17 | 1109 / 52 | $5.159,17 | 1105 / 48 |
Pulmonary Edema & Respiratory Failure | 157 | 52 / 7 | $17.801,70 | 271 / 20 | $8.058,06 | 673 / 45 | $6.549,81 | 673 / 46 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 153 | 31 / 5 | $25.959,10 | 233 / 14 | $10.529,70 | 446 / 29 | $9.211,61 | 445 / 35 |
Red Blood Cell Disorders W/O Mcc | 151 | 9 / 2 | $13.834,60 | 337 / 10 | $5.885,49 | 1078 / 47 | $4.630,24 | 1071 / 49 |
Cellulitis W/O Mcc | 143 | 47 / 1 | $11.444,60 | 411 / 12 | $5.975,73 | 1167 / 56 | $4.404,82 | 1161 / 49 |
Chronic Obstructive Pulmonary Disease W Mcc | 130 | 72 / 8 | $15.331,40 | 339 / 16 | $7.675,67 | 1143 / 53 | $6.386,65 | 1138 / 58 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 126 | 65 / 8 | $22.426,50 | 169 / 6 | $7.590,26 | 843 / 25 | $5.992,17 | 841 / 26 |
Renal Failure W Cc | 114 | 107 / 15 | $14.217,70 | 395 / 25 | $6.812,35 | 1357 / 61 | $5.560,96 | 1349 / 63 |
Syncope & Collapse | 113 | 56 / 2 | $12.875,40 | 257 / 5 | $5.243,47 | 886 / 36 | $3.930,62 | 881 / 34 |
G.I. Hemorrhage W Mcc | 112 | 16 / 2 | $27.384,00 | 242 / 14 | $11.151,60 | 608 / 29 | $9.960,18 | 609 / 31 |
Hip & Femur Procedures Except Major Joint W Cc | 109 | 34 / 3 | $30.874,00 | 254 / 7 | $12.132,10 | 525 / 41 | $10.107,70 | 524 / 29 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 108 | 88 / 11 | $43.771,50 | 112 / 3 | $13.734,50 | 380 / 17 | $10.354,30 | 380 / 8 |
Respiratory Infections & Inflammations W Mcc | 103 | 36 / 5 | $21.246,30 | 128 / 13 | $11.894,20 | 403 / 32 | $10.264,90 | 402 / 27 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 102 | 26 / 5 | $18.984,50 | 282 / 15 | $8.164,41 | 813 / 41 | $6.830,11 | 810 / 43 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 102 | 32 / 6 | $34.545,80 | 196 / 13 | $14.013,10 | 570 / 31 | $12.631,30 | 562 / 33 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 98 | 63 / 7 | $11.963,40 | 228 / 9 | $5.700,04 | 933 / 55 | $4.226,54 | 930 / 46 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 98 | 68 / 5 | $10.581,10 | 384 / 11 | $4.998,50 | 1163 / 47 | $3.783,62 | 1160 / 47 |
Cervical Spinal Fusion W/O Cc/Mcc | 94 | 20 / 5 | $25.652,60 | 31 / 1 | $13.465,40 | 355 / 12 | $11.921,90 | 354 / 13 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 93 | 114 / 14 | $14.367,40 | 303 / 10 | $7.025,42 | 886 / 46 | $5.564,68 | 884 / 44 |
Diabetes W Cc | 89 | 11 / 2 | $13.576,50 | 241 / 11 | $5.951,19 | 786 / 46 | $4.681,46 | 783 / 45 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 88 | 38 / 5 | $16.145,50 | 195 / 11 | $7.400,05 | 670 / 34 | $6.330,75 | 667 / 36 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 75 | 50 / 7 | $28.075,20 | 371 / 21 | $11.209,70 | 731 / 35 | $9.543,11 | 730 / 33 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 73 | 23 / 5 | $18.411,40 | 149 / 6 | $8.158,66 | 566 / 27 | $6.772,93 | 561 / 27 |
Red Blood Cell Disorders W Mcc | 72 | 6 / 1 | $21.874,40 | 206 / 13 | $8.496,06 | 424 / 18 | $7.214,74 | 422 / 17 |
Chronic Obstructive Pulmonary Disease W Cc | 71 | 108 / 16 | $12.089,30 | 244 / 7 | $6.299,90 | 1043 / 47 | $4.995,89 | 1040 / 47 |
Transient Ischemia | 71 | 54 / 4 | $17.725,30 | 468 / 23 | $5.049,38 | 818 / 34 | $3.733,34 | 814 / 38 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 69 | 23 / 2 | $14.953,40 | 34 / 1 | $7.167,55 | 316 / 6 | $5.658,96 | 315 / 7 |
Heart Failure & Shock W/O Cc/Mcc | 67 | 43 / 6 | $10.456,00 | 309 / 14 | $4.929,93 | 1032 / 47 | $3.763,67 | 1024 / 44 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 65 | 37 / 4 | $16.760,90 | 350 / 19 | $5.464,98 | 630 / 41 | $3.772,97 | 626 / 31 |
Chest Pain | 64 | 87 / 6 | $12.817,10 | 298 / 12 | $4.547,94 | 777 / 33 | $3.235,67 | 772 / 32 |
Diabetes W Mcc | 62 | 3 / 1 | $22.331,70 | 118 / 8 | $9.442,21 | 262 / 17 | $7.884,27 | 262 / 16 |
G.I. Obstruction W Cc | 60 | 32 / 6 | $13.547,90 | 195 / 3 | $6.146,60 | 822 / 28 | $4.841,27 | 820 / 29 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 55 | 95 / 16 | $10.557,30 | 399 / 18 | $4.478,62 | 1149 / 49 | $2.959,16 | 1144 / 52 |
Acute Myocardial Infarction, Discharged Alive W Cc | 54 | 37 / 6 | $20.402,50 | 299 / 11 | $7.377,33 | 373 / 25 | $5.269,20 | 372 / 14 |
Hip & Femur Procedures Except Major Joint W Mcc | 54 | 9 / 2 | $42.408,20 | 67 / 5 | $17.553,90 | 227 / 8 | $16.067,10 | 226 / 10 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 51 | 73 / 11 | $53.617,60 | 67 / 4 | $28.083,10 | 129 / 8 | $25.992,80 | 129 / 9 |
Major Small & Large Bowel Procedures W Cc | 51 | 57 / 8 | $31.471,90 | 67 / 1 | $15.853,70 | 234 / 18 | $12.596,00 | 232 / 12 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 50 | 16 / 2 | $38.818,00 | 32 / 2 | $18.618,40 | 236 / 6 | $17.073,20 | 234 / 10 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 50 | 43 / 7 | $32.291,80 | 63 / 2 | $13.114,30 | 314 / 5 | $11.609,20 | 309 / 8 |
Seizures W Mcc | 49 | 17 / 2 | $25.064,60 | 103 / 4 | $9.812,84 | 267 / 6 | $8.662,27 | 267 / 7 |
Seizures W/O Mcc | 49 | 59 / 6 | $13.081,80 | 173 / 4 | $5.397,59 | 534 / 18 | $4.116,65 | 531 / 19 |
Nonspecific Cerebrovascular Disorders W Mcc | 48 | 7 / 2 | $26.853,30 | 82 / 3 | $10.345,80 | 115 / 2 | $9.073,12 | 115 / 3 |
Other Vascular Procedures W Cc | 47 | 55 / 6 | $34.208,10 | 51 / 1 | $15.419,80 | 359 / 8 | $14.189,60 | 357 / 10 |
Other Digestive System Diagnoses W Cc | 46 | 51 / 11 | $16.640,70 | 224 / 8 | $6.709,63 | 594 / 20 | $5.386,76 | 591 / 21 |
Other Circulatory System Diagnoses W Mcc | 46 | 70 / 9 | $26.566,50 | 145 / 8 | $11.497,70 | 401 / 11 | $10.370,10 | 400 / 12 |
Pulmonary Embolism W Mcc | 45 | 2 / 1 | $18.818,00 | 38 / 2 | $9.569,82 | 170 / 7 | $8.093,49 | 170 / 9 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 44 | 49 / 3 | $10.750,50 | 291 / 12 | $5.145,98 | 960 / 41 | $3.642,36 | 955 / 37 |
Revision Of Hip Or Knee Replacement W Cc | 43 | 44 / 3 | $41.649,70 | 31 / 2 | $19.494,60 | 38 / 5 | $15.893,50 | 38 / 1 |
Pulmonary Embolism W/O Mcc | 42 | 32 / 9 | $16.067,00 | 193 / 9 | $6.740,02 | 629 / 26 | $5.417,48 | 626 / 32 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 41 | 55 / 6 | $30.789,00 | 40 / 1 | $13.739,80 | 324 / 11 | $11.674,60 | 321 / 13 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 40 | 33 / 6 | $13.141,80 | 75 / 2 | $7.233,02 | 327 / 9 | $6.212,40 | 326 / 15 |
Medical Back Problems W/O Mcc | 39 | 82 / 10 | $14.444,70 | 195 / 3 | $5.936,74 | 700 / 16 | $4.566,74 | 697 / 19 |
Nonspecific Cerebrovascular Disorders W Cc | 38 | 18 / 3 | $15.285,60 | 43 / 2 | $6.459,47 | 146 / 4 | $5.163,03 | 146 / 5 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 38 | 54 / 9 | $70.868,90 | 58 / 3 | $33.226,90 | 41 / 5 | $28.104,40 | 41 / 1 |
Poisoning & Toxic Effects Of Drugs W Mcc | 38 | 34 / 8 | $19.725,70 | 107 / 11 | $8.882,24 | 303 / 17 | $7.671,42 | 302 / 17 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 38 | 26 / 3 | $82.757,40 | 8 / 1 | $43.287,20 | 1 / 1 | $37.237,30 | 1 / 1 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 36 | 64 / 11 | $65.915,80 | 127 / 3 | $21.576,60 | 170 / 7 | $16.974,50 | 170 / 5 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 36 | 82 / 9 | $110.872,00 | 121 / 4 | $35.588,50 | 282 / 7 | $32.947,50 | 282 / 8 |
Respiratory Infections & Inflammations W Cc | 36 | 52 / 9 | $18.010,20 | 191 / 14 | $8.477,08 | 322 / 21 | $7.015,14 | 319 / 17 |
Cellulitis W Mcc | 36 | 22 / 3 | $19.720,80 | 118 / 6 | $8.877,00 | 229 / 9 | $7.567,56 | 228 / 7 |
Disorders Of Pancreas Except Malignancy W Mcc | 35 | 11 / 1 | $23.156,80 | 24 / 1 | $10.954,90 | 86 / 1 | $9.798,51 | 86 / 5 |
Major Small & Large Bowel Procedures W Mcc | 35 | 50 / 10 | $72.540,20 | 142 / 7 | $33.582,10 | 379 / 22 | $28.331,00 | 377 / 13 |
Respiratory Neoplasms W Mcc | 34 | 18 / 4 | $22.056,80 | 48 / 3 | $11.116,80 | 257 / 11 | $9.848,50 | 257 / 13 |
Disorders Of Pancreas Except Malignancy W Cc | 34 | 27 / 5 | $13.832,50 | 92 / 3 | $6.382,00 | 496 / 15 | $5.268,53 | 494 / 24 |
G.I. Obstruction W Mcc | 34 | 8 / 2 | $26.960,10 | 92 / 6 | $10.878,80 | 220 / 10 | $9.435,35 | 220 / 10 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 33 | 28 / 4 | $10.476,20 | 118 / 2 | $4.687,06 | 419 / 20 | $3.634,64 | 418 / 20 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 33 | 38 / 9 | $63.167,20 | 56 / 3 | $29.155,70 | 157 / 4 | $27.280,60 | 157 / 8 |
G.I. Obstruction W/O Cc/Mcc | 32 | 39 / 4 | $10.493,00 | 169 / 7 | $4.643,94 | 691 / 28 | $3.242,75 | 689 / 29 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 32 | 24 / 3 | $24.613,70 | 35 / 2 | $10.659,00 | 295 / 15 | $8.647,34 | 295 / 14 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 32 | 88 / 18 | $10.777,90 | 331 / 15 | $5.154,78 | 887 / 47 | $3.645,03 | 880 / 34 |
Major Cardiovasc Procedures W/O Mcc | 30 | 71 / 14 | $55.516,20 | 87 / 2 | $20.157,80 | 341 / 4 | $18.917,90 | 341 / 7 |
Coronary Bypass W Cardiac Cath W/O Mcc | 30 | 46 / 10 | $99.757,90 | 122 / 3 | $29.037,00 | 255 / 6 | $25.978,80 | 255 / 8 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 30 | 33 / 6 | $60.732,20 | 36 / 1 | $27.471,00 | 130 / 3 | $25.869,50 | 130 / 3 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 29 | 37 / 4 | $22.866,20 | 23 / 1 | $12.150,40 | 116 / 4 | $9.534,83 | 116 / 3 |
Other Disorders Of Nervous System W Cc | 29 | 27 / 6 | $12.570,70 | 47 / 1 | $6.142,79 | 251 / 10 | $5.075,72 | 251 / 12 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 29 | 18 / 2 | $22.313,90 | 56 / 2 | $8.511,28 | 207 / 13 | $6.160,41 | 207 / 11 |
Extracranial Procedures W/O Cc/Mcc | 29 | 69 / 12 | $16.506,70 | 73 / 2 | $6.842,00 | 453 / 10 | $5.600,66 | 452 / 13 |
Permanent Cardiac Pacemaker Implant W Cc | 29 | 48 / 10 | $33.592,30 | 38 / 1 | $15.512,90 | 246 / 6 | $14.334,10 | 245 / 7 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 29 | 28 / 5 | $30.400,90 | 43 / 1 | $13.876,00 | 194 / 13 | $11.305,00 | 193 / 8 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 28 | 42 / 5 | $12.804,80 | 47 / 2 | $6.744,43 | 132 / 13 | $4.955,82 | 132 / 4 |
Cervical Spinal Fusion W Cc | 28 | 25 / 6 | $33.083,90 | 15 / 1 | $17.949,90 | 91 / 4 | $15.331,30 | 90 / 5 |
Other Digestive System Diagnoses W Mcc | 28 | 34 / 7 | $23.631,10 | 81 / 4 | $11.064,90 | 96 / 6 | $8.801,43 | 96 / 4 |
Peripheral Vascular Disorders W Cc | 28 | 56 / 7 | $16.105,80 | 226 / 8 | $6.582,32 | 398 / 15 | $5.100,68 | 396 / 8 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 27 | 74 / 17 | $18.414,00 | 86 / 5 | $8.963,96 | 173 / 11 | $7.890,85 | 173 / 11 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 27 | 8 / 3 | $44.555,40 | 9 / 2 | $20.499,30 | 7 / 1 | $19.270,60 | 7 / 1 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 27 | 28 / 7 | $30.303,60 | 44 / 2 | $12.188,40 | 225 / 7 | $10.754,60 | 225 / 8 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 27 | 42 / 12 | $39.514,50 | 55 / 2 | $12.093,40 | 183 / 11 | $9.555,19 | 183 / 7 |
Fractures Of Hip & Pelvis W/O Mcc | 26 | 35 / 3 | $11.774,00 | 153 / 9 | $5.184,27 | 414 / 18 | $3.742,12 | 414 / 18 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 26 | 72 / 8 | $51.751,30 | 18 / 1 | $24.688,20 | 75 / 2 | $23.259,60 | 75 / 3 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 25 | 51 / 8 | $23.566,60 | 38 / 1 | $11.225,40 | 90 / 4 | $9.806,44 | 90 / 4 |
Bronchitis & Asthma W Cc/Mcc | 25 | 51 / 12 | $12.292,30 | 107 / 4 | $6.010,56 | 483 / 17 | $4.742,00 | 479 / 21 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 25 | 31 / 6 | $19.389,10 | 37 / 1 | $11.628,90 | 175 / 8 | $10.365,40 | 175 / 10 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 24 | 42 / 7 | $20.130,90 | 80 / 6 | $7.543,96 | 166 / 4 | $6.001,00 | 166 / 5 |
Atherosclerosis W/O Mcc | 24 | 34 / 6 | $11.524,10 | 76 / 4 | $4.495,75 | / 14 | $3.566,50 | / |
Major Cardiovasc Procedures W Mcc | 24 | 44 / 11 | $79.777,60 | 50 / 1 | $30.838,80 | 139 / 2 | $28.970,90 | 139 / 1 |
Other Vascular Procedures W Mcc | 24 | 73 / 12 | $52.819,30 | 95 / 4 | $19.113,80 | 175 / 7 | $17.666,60 | 175 / 8 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 24 | 29 / 9 | $17.631,20 | 219 / 15 | $5.367,21 | 416 / 18 | $4.042,29 | 413 / 19 |
Major Chest Procedures W Cc | 23 | 51 / 10 | $47.181,10 | 91 / 3 | $16.576,40 | 240 / 7 | $15.012,60 | 238 / 11 |
Signs & Symptoms W/O Mcc | 23 | 68 / 12 | $13.637,40 | 257 / 7 | $5.249,48 | 528 / 23 | $3.718,39 | 527 / 22 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 23 | 101 / 12 | $15.102,70 | 346 / 12 | $5.010,00 | 273 / 10 | $3.712,83 | 273 / 13 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 23 | 93 / 9 | $155.980,00 | 102 / 5 | $54.940,60 | 262 / 7 | $52.856,10 | 262 / 9 |
Other Disorders Of Nervous System W Mcc | 22 | 18 / 5 | $24.593,20 | 39 / 5 | $9.839,23 | 89 / 4 | $8.799,59 | 89 / 5 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W/O Cc/Mcc | 22 | 1 / 1 | $79.917,50 | 4 / 1 | $31.774,20 | 7 / 2 | $26.769,20 | 7 / 1 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 22 | 34 / 6 | $24.814,20 | 84 / 1 | $10.170,00 | 364 / 14 | $8.707,86 | 362 / 16 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 22 | 24 / 2 | $16.254,70 | 29 / 2 | $7.379,09 | 54 / 4 | $4.751,95 | 54 / 3 |
Cranial & Peripheral Nerve Disorders W Mcc | 22 | 14 / 5 | $23.654,50 | 34 / 8 | $9.873,91 | 91 / 10 | $9.158,50 | 91 / 11 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 22 | 16 / 2 | $12.378,30 | 79 / 4 | $4.878,18 | 209 / 8 | $3.403,91 | 209 / 8 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 21 | 32 / 5 | $21.235,30 | 9 / 1 | $10.957,30 | 75 / 4 | $9.655,24 | 75 / 5 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 21 | 47 / 11 | $18.416,40 | 181 / 12 | $6.166,71 | 335 / 13 | $5.165,19 | 335 / 16 |
Other Circulatory System O.R. Procedures | 21 | 34 / 6 | $37.690,60 | 41 / 1 | $16.836,60 | 116 / 4 | $15.453,70 | 116 / 3 |
Extracranial Procedures W Cc | 21 | 25 / 5 | $18.496,60 | 20 / 1 | $9.862,90 | 141 / 2 | $8.612,05 | 141 / 3 |
Diabetes W/O Cc/Mcc | 21 | 17 / 3 | $9.423,62 | 35 / 2 | $4.525,38 | 103 / 10 | $3.102,86 | 103 / 8 |
Acute Myocardial Infarction, Expired W Mcc | 20 | 10 / 3 | $27.609,10 | 28 / 3 | $10.489,80 | 26 / 2 | $8.887,20 | 26 / 2 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 20 | 42 / 5 | $11.901,10 | 107 / 2 | $5.382,85 | 345 / 7 | $4.041,95 | 345 / 9 |
Disorders Of The Biliary Tract W Mcc | 20 | 19 / 5 | $26.794,80 | 32 / 2 | $10.310,40 | 51 / 3 | $9.007,55 | 51 / 3 |
Other Circulatory System Diagnoses W Cc | 20 | 46 / 10 | $15.748,50 | 98 / 1 | $6.509,45 | 287 / 8 | $5.484,50 | 286 / 10 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 20 | 31 / 6 | $27.508,10 | 22 / 3 | $12.200,80 | 69 / 3 | $10.744,70 | 69 / 4 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 20 | 49 / 8 | $37.755,80 | 41 / 2 | $16.844,60 | 71 / 11 | $12.646,80 | 71 / 3 |
Dysequilibrium | 20 | 45 / 3 | $12.418,70 | 73 / 1 | $4.600,80 | 242 / 5 | $3.318,30 | 242 / 6 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 20 | 12 / 4 | $24.514,20 | 5 / 1 | $12.828,90 | 8 / 1 | $11.426,20 | 8 / 1 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 20 | 44 / 10 | $21.983,20 | 35 / 1 | $10.551,50 | 252 / 8 | $8.346,70 | 252 / 9 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 19 | 8 / 2 | $18.959,90 | 15 / 1 | $9.201,11 | 10 / 1 | $7.902,74 | 10 / 1 |
Renal Failure W/O Cc/Mcc | 19 | 37 / 11 | $10.690,70 | 145 / 6 | $4.642,68 | 459 / 16 | $3.470,74 | 458 / 16 |
Major Chest Procedures W Mcc | 19 | 30 / 6 | $78.092,50 | 44 / 2 | $32.184,60 | 133 / 4 | $29.978,10 | 133 / 5 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 19 | 62 / 8 | $165.091,00 | 4 / 2 | $72.850,10 | 10 / 1 | $70.263,90 | 10 / 1 |
Hypertension W/O Mcc | 19 | 46 / 8 | $12.574,40 | 127 / 6 | $4.646,11 | 428 / 14 | $3.511,58 | 426 / 17 |
Medical Back Problems W Mcc | 18 | 21 / 7 | $27.349,70 | 55 / 3 | $10.223,70 | 114 / 3 | $9.062,78 | 114 / 3 |
Other Resp System O.R. Procedures W Mcc | 18 | 45 / 11 | $53.093,20 | 76 / 4 | $20.924,90 | 66 / 3 | $18.407,80 | 66 / 2 |
Permanent Cardiac Pacemaker Implant W Mcc | 18 | 34 / 9 | $43.700,60 | 17 / 2 | $21.523,60 | 148 / 6 | $20.074,70 | 148 / 6 |
Nervous System Neoplasms W Mcc | 18 | 30 / 6 | $22.209,40 | 25 / 1 | $8.723,39 | 48 / 3 | $6.809,94 | 48 / 2 |
Other Vascular Procedures W/O Cc/Mcc | 18 | 38 / 11 | $25.900,30 | 38 / 2 | $10.594,40 | 220 / 7 | $9.269,67 | 219 / 8 |
Hiv W Major Related Condition W Mcc | 18 | 19 / 2 | $26.622,70 | 2 / 1 | $15.228,70 | 4 / 1 | $14.159,70 | 4 / 1 |
Major Male Pelvic Procedures W/O Cc/Mcc | 18 | 55 / 11 | $33.486,90 | 121 / 10 | $11.420,00 | 39 / 14 | $5.327,94 | 39 / 5 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 17 | 13 / 4 | $21.079,80 | 8 / 1 | $11.836,80 | 19 / 2 | $9.287,24 | 19 / 2 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 17 | 52 / 10 | $33.781,10 | 20 / 1 | $15.955,10 | 185 / 3 | $14.603,10 | 185 / 9 |
Other Kidney & Urinary Tract Procedures W Cc | 17 | 9 / 3 | $31.217,10 | 8 / 1 | $13.704,90 | 20 / 2 | $12.330,30 | 20 / 2 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 17 | 71 / 12 | $75.402,60 | 102 / 3 | $22.371,90 | 272 / 3 | $21.098,40 | 271 / 10 |
Peripheral Vascular Disorders W Mcc | 17 | 32 / 8 | $19.539,70 | 57 / 3 | $8.799,29 | 175 / 5 | $7.515,76 | 175 / 6 |
Coronary Bypass W Cardiac Cath W Mcc | 17 | 39 / 9 | $122.079,00 | 42 / 2 | $42.968,40 | 111 / 3 | $38.726,60 | 111 / 3 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 16 | 38 / 8 | $57.812,10 | 27 / 2 | $18.027,80 | 41 / 1 | $16.551,10 | 41 / 2 |
Inflammatory Bowel Disease W Cc | 16 | 16 / 4 | $11.872,90 | 4 / 1 | $6.856,56 | 52 / 1 | $5.622,44 | 52 / 6 |
Peritoneal Adhesiolysis W Cc | 16 | 23 / 6 | $37.923,40 | 32 / 1 | $14.613,40 | 90 / 3 | $12.731,60 | 90 / 4 |
Disorders Of The Biliary Tract W Cc | 16 | 38 / 7 | $22.074,00 | 93 / 4 | $6.884,56 | 139 / 2 | $5.754,25 | 139 / 5 |
G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 13 | $11.963,60 | 166 / 8 | $5.025,75 | 404 / 16 | $3.572,81 | 400 / 16 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 15 | 59 / 8 | $43.045,70 | 33 / 1 | $14.970,80 | 105 / 3 | $13.667,90 | 105 / 4 |
Respiratory Signs & Symptoms | 15 | 31 / 5 | $10.965,60 | 23 / 1 | $5.123,60 | 61 / 6 | $3.360,73 | 61 / 2 |
Complications Of Treatment W Cc | 15 | 37 / 8 | $11.567,00 | 8 / 1 | $6.664,53 | 66 / 5 | $5.117,40 | 66 / 3 |
Fractures Of Hip & Pelvis W Mcc | 15 | 6 / 2 | $20.706,90 | 11 / 2 | $8.476,07 | 23 / 2 | $7.146,87 | 23 / 2 |
Degenerative Nervous System Disorders W Mcc | 15 | 23 / 6 | $17.219,40 | 11 / 1 | $10.174,30 | 37 / 2 | $8.965,87 | 37 / 4 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 15 | 32 / 5 | $12.297,60 | 54 / 1 | $5.610,33 | 92 / 5 | $3.671,60 | 92 / 4 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 15 | 32 / 6 | $21.619,50 | 26 / 1 | $9.880,60 | 145 / 4 | $7.503,33 | 145 / 3 |
Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 14 | 26 / 6 | $30.192,50 | 20 / 2 | $12.683,40 | 7 / 6 | $6.390,71 | 7 / 1 |
Other Kidney & Urinary Tract Diagnoses W Cc | 14 | 89 / 15 | $14.474,30 | 93 / 4 | $6.615,00 | 317 / 6 | $5.555,64 | 317 / 9 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 14 | 30 / 12 | $41.666,10 | 27 / 2 | $17.169,70 | 37 / 4 | $13.818,50 | 36 / 2 |
Stomach, Esophageal & Duodenal Proc W Mcc | 14 | 27 / 8 | $76.090,10 | 15 / 1 | $32.392,70 | 21 / 2 | $28.176,20 | 21 / 2 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 14 | 17 / 2 | $29.945,10 | 5 / 1 | $11.515,40 | 31 / 2 | $9.919,29 | 31 / 3 |
Digestive Malignancy W Mcc | 14 | 23 / 5 | $14.628,30 | 1 / 1 | $12.835,90 | 22 / 2 | $11.430,20 | 22 / 2 |
Other Digestive System Diagnoses W/O Cc/Mcc | 14 | 29 / 8 | $10.257,00 | 33 / 1 | $4.881,00 | 143 / 6 | $3.552,71 | 143 / 8 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 14 | 28 / 5 | $15.320,80 | 2 / 1 | $10.665,10 | 66 / 3 | $9.566,64 | 66 / 5 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 14 | 26 / 4 | $34.032,20 | 21 / 2 | $12.156,40 | 71 / 3 | $10.771,90 | 71 / 4 |
Major Chest Trauma W Cc | 13 | 23 / 4 | $15.975,00 | 12 / 1 | $6.721,77 | 50 / 1 | $5.276,62 | 50 / 2 |
Respiratory Neoplasms W Cc | 13 | 34 / 11 | $11.932,80 | 13 / 1 | $7.684,69 | 191 / 3 | $6.669,54 | 190 / 4 |
Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 17 | $19.219,20 | 204 / 7 | $6.381,77 | 138 / 5 | $4.764,62 | 138 / 2 |
Digestive Malignancy W Cc | 13 | 34 / 11 | $19.672,20 | 40 / 3 | $8.418,00 | 72 / 5 | $6.472,69 | 72 / 4 |
Other Respiratory System Diagnoses W/O Mcc | 13 | 33 / 8 | $12.333,00 | 30 / 1 | $5.437,31 | 119 / 4 | $4.462,85 | 119 / 6 |
Endocrine Disorders W Cc | 13 | 25 / 7 | $14.283,90 | 24 / 1 | $6.538,77 | 55 / 4 | $5.237,15 | 55 / 5 |
Other Digestive System O.R. Procedures W Mcc | 13 | 16 / 4 | $58.240,10 | 7 / 4 | $25.059,10 | 39 / 4 | $23.277,80 | 39 / 5 |
Kidney & Ureter Procedures For Neoplasm W Cc | 12 | 32 / 6 | $37.145,90 | 20 / 3 | $12.383,30 | 36 / 2 | $11.075,30 | 36 / 2 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 12 | 28 / 5 | $77.741,00 | 6 / 1 | $38.485,80 | 17 / 2 | $36.798,50 | 17 / 2 |
Interstitial Lung Disease W Mcc | 12 | 13 / 4 | $24.116,80 | 9 / 1 | $10.314,00 | 8 / 1 | $8.264,58 | 8 / 1 |
Other O.R. Procedures For Injuries W Cc | 12 | 23 / 6 | $24.702,70 | 3 / 1 | $11.959,00 | 16 / 2 | $9.876,00 | 16 / 1 |
Amputation For Musculoskeletal Sys & Conn Tissue Dis W Mcc | 12 | 7 / 2 | $38.354,20 | 4 / 2 | $18.447,40 | 1 / 1 | $17.219,60 | 1 / 1 |
Peripheral Vascular Disorders W/O Cc/Mcc | 12 | 33 / 6 | $12.761,20 | 93 / 3 | $4.966,33 | 157 / 3 | $3.569,67 | 157 / 2 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 12 | 33 / 11 | $58.479,20 | 33 / 3 | $18.408,80 | 85 / 3 | $17.003,40 | 85 / 5 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 11 | 84 / 15 | $38.343,00 | 38 / 2 | $13.787,80 | 54 / 6 | $9.588,18 | 53 / 3 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 11 | 20 / 7 | $17.671,30 | 17 / 1 | $7.747,27 | 63 / 2 | $6.542,09 | 63 / 2 |
Peritoneal Adhesiolysis W Mcc | 11 | 12 / 4 | $64.334,80 | 3 / 1 | $24.619,90 | 12 / 1 | $22.561,90 | 12 / 1 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 11 | 58 / 9 | $163.022,00 | 32 / 1 | $57.870,50 | 70 / 3 | $55.293,50 | 70 / 3 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 10 | $38.197,90 | 35 / 1 | $16.126,00 | 6 / 7 | $11.078,90 | 6 / 1 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 11 | 34 / 8 | $25.954,20 | 9 / 1 | $12.944,80 | 17 / 1 | $9.467,91 | 17 / 1 |
Other Digestive System O.R. Procedures W Cc | 11 | 16 / 6 | $27.925,50 | 2 / 1 | $13.709,00 | 8 / 3 | $10.783,00 | 8 / 1 |
Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 7 | $10.012,00 | 51 / 1 | $4.753,36 | 171 / 5 | $3.419,27 | 171 / 5 |
Vaginal Delivery W/O Complicating Diagnoses | 11 | 14 / 3 | $11.402,80 | 32 / 5 | $4.330,18 | 12 / 3 | $3.007,18 | 12 / 3 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc | 11 | 18 / 5 | $27.709,40 | 10 / 1 | $12.858,70 | 2 / 1 | $9.996,82 | 2 / 1 |
Pleural Effusion W Mcc | 11 | 19 / 6 | $26.461,70 | 25 / 2 | $10.219,50 | 67 / 2 | $8.801,18 | 67 / 3 |
Lymphoma & Non-Acute Leukemia W Mcc | 11 | 25 / 7 | $21.722,40 | 1 / 1 | $17.543,90 | 5 / 1 | $16.139,90 | 5 / 1 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Mcc | 11 | 15 / 2 | $54.525,00 | 5 / 1 | $19.751,10 | 11 / 2 | $15.399,20 | 11 / 2 | Total 199 procedures | 10.372 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.